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On Demand Webinar

Is That Health Plan Contract Good for Your Practice?

Health Plan Contract Evaluation
Credit(s): 1 AMA PRA Category 1 Credits™ (Enduring)
Course Number: PME-CONEVL/GEN
Original Program Date: July 10, 2012
Duration: 1 hour
Access: Available until July 09, 2015
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  • Physician practices must decide for themselves how to deal with health plan contracts.  And now is a good time to study the question and make decisions before annual employer open enrollment deadlines, many of which are in the fall. 


    Physicians or practice managers should examine contract profitability and payer mix so that they can make informed contracting decisions.  Sometimes what appears to be in black and white in a contract is actually gray. Is that health plan contract good for your practice?  What will you do if they cut your fees? Is it negotiable?  What other reasonable options might you put on the table?


    This webinar will help practices assess how a plan contract affects their bottom line and assess the impact of their contracting choices.


    Released: July 9, 2012
    Expires: July 9, 2015


    Target Audience

    This program was developed for physicians in all specialties. Office managers and administrators may find this program helpful.


    Course Objectives:
    Upon completion of this program, participants should be able to:

    • Identify some potential problems in managed care contracts;

    • Explain how to calculate contract yield and compare with cost using individual practice data; and

    • Utilize methods for using data in contract negotiations


    Teaching Methods:

    Didactic lecture


    1 AMA PRA Category 1 Credits™ (Enduring)   The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Texas Medical Association designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The Texas Medical Association requires physician to complete 70-percent of the test questions correctly to receive credit for this course.

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    Donna Kinney, CPA, Director, Research and Data Analysis

    Donna Kinney, CPA, is Director of the Research and Data Analysis Department at the Texas Medical Association.  She is TMA’s in-house expert on physician practice economics, operating costs, fee schedules, and relative value units.  She conducts TMA’s physician surveys, develops TMA’s responses to regulatory actions, and uses data analysis or other research to support physician’s interests in key Texas and federal legislative issues. 


    Experience from these activities led Ms. Kinney to develop information and publications to inform physicians about issues that have financial impact on their practice operations in order to clarify and simplify some of the difficult issues in medical practice.  Ms. Kinney is a Certified Public Accountant and holds a BBA in accounting from the University of Texas at Austin. 


    DescriptionPagesFile Size
    Managed Care Contract Guide36 Pages737 KB
    Slides (2 per page)21 Pages154 KB
    Contract Evaluation Resources2 Pages28 KB

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